J Korean Surg Soc. 2010 Dec;79(Suppl 1):S54-S57. Korean.
Published online Dec 31, 2010.
Copyright © 2010 The Korean Surgical Society
Case Report

Successful Removal of a Migrated Catheter of Chemoport in Right Atrium

Han-Lim Choi, M.D., Hwa-Yeun Yang, M.D., Dong-Hee Ryu, M.D., Lee-Chan Jang, M.D., Sang-Jeon Lee, M.D., Young-Jin Song, M.D. and Woo-Young Sun, M.D.
    • Department of Surgery, Chungbuk National University College of Medicine, Chungju, Korea.
Received April 07, 2010; Accepted June 22, 2010.

Abstract

The use of totally implantable central venous access devices (chemoport) has increased with the development of chemotherapeutic agents in oncologic patients, especially with no venous access site. However, there can be various complications such as port site infection, thromboembolism, injury of central vein, fracture of catheter, and migration of catheter. We report a rare case of migration of catheter to right atrium due to the separation of the catheter from the chemoport.

Keywords
Chemoport; Catheter; Migration

Figures

Fig. 1
Chest PA shows the chemoport in the anterior chest wall (arrow head), the migrated catheter tip in right atrium (arrow A), and the other end of the migrated catheter tip in IVC (arrow B). IVC = inferior vena cava.

Fig. 2
Fluoroimages show the migrated catheter in right atrium and IVC. IVC = inferior vena cava.

Fig. 3
Fluoroimages show the diagnostic catheter placed in right atrium (A). The migrated catheter was entrapped with a Multi-Snare® (B, C), and withdrawn (D, E), and the catheter was retrieved via right femoral vein successfully (F).

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